title: Streptococcal toxic shock syndrome following total thyroidectomy.
abstract: Group A streptococcal toxic shock syndrome following clean surgery is a rare occurrence. Its incidence following thyroid surgery has not been described in the literature. We report on the presentation and management of severe streptococcal toxic shock syndrome following a total thyroidectomy for a multinodular goitre in a patient with Cowden syndrome. This report presents an overview of streptococcal toxic shock syndrome with a focus on the management issues to consider so as to improve patient outcome. All surgeons must maintain a high index of suspicion for this rare but dangerous entity.
authors.affiliation: NHS Isle of Wight, UK.
authors.forename: J A Z
authors.initials: JA
authors.lastname: Hung
authors.forename: P
authors.initials: P
authors.lastname: Rajeev
mesh_terms: D005260:Female; D006044:Goiter, Nodular / Q000601:surgery*; D006223:Hamartoma Syndrome, Multiple / Q000150:complications; D006801:Humans; D012772:Shock, Septic / Q000209:etiology*; D013290:Streptococcal Infections / Q000209:etiology*; D013297:Streptococcus pyogenes; D013965:Thyroidectomy / Q000009:adverse effects*; D055815:Young Adult